MedPath

Studying First Line Treatment of Chronic Myeloid Leukemia (CML) in a Real-world Setting

Completed
Conditions
Chronic Myeloid Leukemia
Registration Number
NCT01244750
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to better understand the use of tyrosine kinase inhibitors (TKI) in patients newly diagnosed with CML and their quality of life in a real-world setting.

Detailed Description

Time Perspective : Most patients are expected to be a mix of retrospective and prospective data collection. Patients can be enrolled after their study index date (retrospective component) and have to be followed until 5 years from study index date are complete (time between enrollment and 5 year follow-up is the prospective component)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1494
Inclusion Criteria
  • Newly-diagnosed chronic phase chronic myeloid leukemia (CP-CML) patients who started their first-line Tyrosine Kinase Inhibitor (TKI) treatment on imatinib, dasatinib or nilotinib in accordance with the timelines below

  • 18 years or older at time of of CP-CML diagnosis

    a) Imatinib Cohorts

  • Patients who started their first-line Imatinib treatment between January 2, 2008 and September 30, 2010.Patients fitting this criterion are defined as retrospective Imatinib patients

  • Patients who started their first-line Imatinib treatment on or after October 1, 2010

    b) Dasatinib Cohort

  • Patients who started their first-line Dasatinib treatment after the drug was approved in this indication

    c) Nilotinib Cohort

  • Patients who started their first-line Nilotinib treatment after the drug was approved in this indication

  • Patients are also eligible when they have already switched to a subsequent therapy (TKI or other) at the time of enrollment, as long as their first-line and subsequent CML treatment information is available at site for data entry into the study Electronic Case Report Form (eCRF)

  • Receiving treatment at medical practice (eg. community-based, office-based, hospital-based, academic setting, oncology center)

Exclusion Criteria
  • Patients who are participating in an interventional trial which may influence the management of their CML disease will be excluded

Discontinuation Criteria:

  • Enrolled patients who join an interventional trial which may influence the management of their CML disease will be excluded at the time of entry into the interventional trial

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The rate of best response to therapy (i.e. hematologic, cytogenetic, molecular response)Every 6 months for a follow-up period of 5-years from study index date

Results and dates of: all bone marrow aspirates, blood tests, cytogenetics, Polymerase Chain Reaction (PCR), Fluorescent In-Situ Hybridization (FISH), and Physical exam

The rate of discontinuation and treatment changes after initial TKI treatmentEvery 6 months for a follow-up period of 5-years from study index date

Dates of switches in therapy from initial TKI treatment, Reasons for treatment discontinuation (i.e. side effects, mutations, etc.), Subsequent lines of CML treatments (start and stop dates)

The duration of initial TKI treatment5-years from study index date

Initiation of first-line TKI, (whether Dasatinib, Imatinib, Nilotinib)

The rate of Complete Cytogenetic Response12 months
The adherence to treatmentEvery 6 months for a follow-up period of 5-years from study index date

Morisky Medication Adherence Scale - 8 Items is a validated self-reported measure of medication adherence.

Secondary Outcome Measures
NameTimeMethod
Impact of first-line treatment options on quality of lifeEvery 6 months

Questionnaires used for assessment:

Functional Assessment of Cancer Therapy - General (FACT-G), Cancer Therapy Satisfaction Questionnaire (CTSQ), MD Anderson Symptom Inventory - CML (MDASI-CML).

Resource utilization associated with CML managementEvery 6 months

To evaluate healthcare resource utilization, descriptive statistics will describe real-world disease monitoring patterns, frequency of testing, and resources used for disease management for each treatment cohort.

Non-hematologic side effects from treatment affecting patient quality of life and outcomesEvery 6 months

Treatment discontinuations and changes

Patient satisfaction with CML treatmentEvery 6 months

Cancer Therapy Satisfaction Questionnaire (CTSQ)

Patterns of disease monitoring as observed in a real-world settingEvery 6 months

MD Anderson Symptom Inventory - CML (MDASI-CML) Questionnaire - disease-specific module of the MDASI7 which is a brief measure of severity and impact of cancer-related symptoms on daily function

Trial Locations

Locations (142)

University of Southern California

🇺🇸

Los Angeles, California, United States

Peachtree Hematology-Oncology

🇺🇸

Atlanta, Georgia, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

Boston VA Healthcare System

🇺🇸

Boston, Massachusetts, United States

Baptist Cancer Center

🇺🇸

Miami, Florida, United States

Indiana Blood and Marrow Transplantation

🇺🇸

Indianapolis, Indiana, United States

Investigative Clinical Research of Indiana

🇺🇸

Indianapolis, Indiana, United States

Cotton O'Neil Cancer Center

🇺🇸

Topeka, Kansas, United States

Hutchinson Clinic

🇺🇸

Hutchinson, Kansas, United States

Arizona Oncology Associates, PC - NAHOA

🇺🇸

Sedona, Arizona, United States

Washington Hospital Center, Washington Cancer Institute

🇺🇸

Washington, District of Columbia, United States

Little Rock Hematology Oncology Associates

🇺🇸

Little Rock, Arkansas, United States

Genesis Cancer Center

🇺🇸

Hot Springs National Park, Arkansas, United States

George Washington University

🇺🇸

Washington, District of Columbia, United States

Arizona Oncology Associates, PC - HOPE

🇺🇸

Tucson, Arizona, United States

NEA Baptist Clinic

🇺🇸

Jonesboro, Arkansas, United States

Stamford Hospital

🇺🇸

Stamford, Connecticut, United States

Medical Oncology and Blood Disorders, LLP

🇺🇸

Manchester, Connecticut, United States

Rocky Mountain Cancer Centers

🇺🇸

Boulder, Colorado, United States

Puerto Rico Hematology Oncology Group

🇵🇷

Bayamon, Puerto Rico

Prairie Lakes Healthcare System, Inc

🇺🇸

Watertown, South Dakota, United States

Arizona Oncology Associates, PC - HAL

🇺🇸

Phoenix, Arizona, United States

Billings Clinic

🇺🇸

Billings, Montana, United States

Frederick Memorial Hospital

🇺🇸

Frederick, Maryland, United States

Maryland Oncology Hematology Pa

🇺🇸

Columbia, Maryland, United States

West Michigan Cancer Center

🇺🇸

Kalamazoo, Michigan, United States

Cancer & Hematology Centers of Western Michigan

🇺🇸

Grand Rapids, Michigan, United States

South Coast Health System

🇺🇸

Fall River, Massachusetts, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Consultants In Blood Disorders

🇺🇸

Saint Matthews, Kentucky, United States

Commonwealth Hematology-Oncology, P.C.

🇺🇸

Quincy, Massachusetts, United States

Willis-Knighton Cancer System

🇺🇸

Shreveport, Louisiana, United States

UMass Medical Center

🇺🇸

Worcester, Massachusetts, United States

Waverly Hematology Oncology

🇺🇸

Cary, North Carolina, United States

Michigan State University

🇺🇸

Lansing, Michigan, United States

Hematology-Oncology Associates of Northern NJ, PA

🇺🇸

Morristown, New Jersey, United States

Portsmouth Regional Hospital

🇺🇸

Portsmouth, New Hampshire, United States

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

Gabrail Cancer Center

🇺🇸

Canton, Ohio, United States

Advanced Oncology

🇺🇸

New York, New York, United States

Lehigh Valley Hospital

🇺🇸

Allentown, Pennsylvania, United States

North Mississippi Hematology & Oncology

🇺🇸

Tupelo, Mississippi, United States

Southern Oncology Hematology

🇺🇸

Vineland, New Jersey, United States

Broome Oncology

🇺🇸

Johnson City, New York, United States

St John's Clinic for Cancer and Hematology

🇺🇸

Springfield, Missouri, United States

Alamance Regional Cancer Center

🇺🇸

Burlington, North Carolina, United States

Stony Brook University Hospital

🇺🇸

Stony Brook, New York, United States

Vassar Brothers Medical Center

🇺🇸

Poughkeepsie, New York, United States

Gaston Hematology Oncology

🇺🇸

Gastonia, North Carolina, United States

Akron General Medical Center

🇺🇸

Akron, Ohio, United States

Lancaster General Health

🇺🇸

Lancaster, Pennsylvania, United States

Berks Hematology-Oncology

🇺🇸

West Reading, Pennsylvania, United States

Veterans Research Foundation of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical Oncology Associates of Wyoming Valley, PC

🇺🇸

Kingston, Pennsylvania, United States

The Cancer Center at Memorial Hospital

🇺🇸

Pawtucket, Rhode Island, United States

Texas Oncology-Methodist Charlton Cancer Center

🇺🇸

Dallas, Texas, United States

Michael DeBakey VA Medical Center

🇺🇸

Houston, Texas, United States

Geisinger Health System

🇺🇸

Wilkes-Barre, Pennsylvania, United States

Hematology Oncology Associates of Fredricksburg

🇺🇸

Fredericksburg, Virginia, United States

St. Luke's Hospital and Health Network

🇺🇸

Bethlehem, Pennsylvania, United States

Texas Oncology

🇺🇸

Waco, Texas, United States

Texas Oncology-Midland Allison Cancer Center

🇺🇸

Midland, Texas, United States

Wheeling Hospital

🇺🇸

Wheeling, West Virginia, United States

Texas Oncology-McAllen South Second

🇺🇸

McAllen, Texas, United States

City Hospital - West Virginia University Hospital East

🇺🇸

Martinsburg, West Virginia, United States

Julie & Ben Rogers Cancer Institute

🇺🇸

Beaumont, Texas, United States

University of Tennessee Medical Center

🇺🇸

Knoxville, Tennessee, United States

Texas Oncology - Arlington South

🇺🇸

Arlington, Texas, United States

Texas Oncology-Medical City Dallas

🇺🇸

Dallas, Texas, United States

Tennessee Cancer Specialists

🇺🇸

Knoxville, Tennessee, United States

Avera Research Institute

🇺🇸

Sioux Falls, South Dakota, United States

Hematology and Oncology Associates of RI

🇺🇸

Cranston, Rhode Island, United States

Cancer Care Association Of York

🇺🇸

York, Pennsylvania, United States

MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Texas Oncology-Odessa West Texas Cancer Center

🇺🇸

Odessa, Texas, United States

Texas Oncology-Dallas Presbyterian Hospital

🇺🇸

Dallas, Texas, United States

Cancer Care Centers of South Texas

🇺🇸

San Antonio, Texas, United States

North Texas Regional Cancer Center

🇺🇸

Plano, Texas, United States

Providence Cancer Center at Sacred Heart Medical Center

🇺🇸

Spokane, Washington, United States

Yakima Valley Memorial Hospital/North Star Lodge

🇺🇸

Yakima, Washington, United States

Danville Hematology & Oncology

🇺🇸

Danville, Virginia, United States

Charleston Area Medical Center

🇺🇸

Charleston, West Virginia, United States

Wenatchee Valley Medical Center

🇺🇸

Wenatchee, Washington, United States

Aspirus Regional Cancer Center

🇺🇸

Wausau, Wisconsin, United States

Local Insitution

🇪🇸

Toledo, Spain

Local Institution

🇪🇸

Santiago De Compostela-A Coruña, Spain

Cancer Care Associates

🇺🇸

Tulsa, Oklahoma, United States

St. Lukes Roosevelt Medical Center

🇺🇸

New York, New York, United States

Sturdy Hematology & Oncology Associates

🇺🇸

Attleboro, Massachusetts, United States

Signal Point Clinical Research Center, LLC

🇺🇸

Middletown, Ohio, United States

Medical Center of Newark

🇺🇸

Newark, Ohio, United States

Hematology/Oncology Salem LLP

🇺🇸

Salem, Oregon, United States

Bms Clinical Research Center

🇺🇸

Does Not Exist, New Jersey, United States

Peninsula Cancer Institute

🇺🇸

Newport News, Virginia, United States

Blue Ridge Cancer Care

🇺🇸

Roanoke, Virginia, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

University Of Florida

🇺🇸

Jacksonville, Florida, United States

Northwest Alabama Cancer Center

🇺🇸

Muscle Shoals, Alabama, United States

Southwest Cancer Care Medical Group

🇺🇸

Escondido, California, United States

Wilshire Oncology Medical Group, Inc

🇺🇸

Glendora, California, United States

St. Joseph's Hospital

🇺🇸

Orange, California, United States

Stockton Hematology Oncology

🇺🇸

Stockton, California, United States

Tahoe Forest Health System Cancer Center

🇺🇸

Truckee, California, United States

PMK Medical Group, Inc. DBA Ventura

🇺🇸

Oxnard, California, United States

Hematology And Medical Oncology Of Southern Palm Beach County

🇺🇸

Boynton Beach, Florida, United States

Baptist Cancer Institute

🇺🇸

Jacksonville, Florida, United States

Central Florida Health Alliance

🇺🇸

Leesburg, Florida, United States

Watson Clinic

🇺🇸

Lakeland, Florida, United States

Florida Cancer Specialists

🇺🇸

New Port Richey, Florida, United States

Lake County Oncology and Hematology

🇺🇸

Tavares, Florida, United States

Space Coast Cancer Center

🇺🇸

Titusville, Florida, United States

Georgia Cancer Specialist

🇺🇸

Sandy Springs, Georgia, United States

Mid-Illinois Hem/Onc Asoc

🇺🇸

Normal, Illinois, United States

Delnor Community Hospital

🇺🇸

Geneva, Illinois, United States

Lewis Hall Singeltary Oncology Center

🇺🇸

Thomasville, Georgia, United States

Mahafzah Medical Center

🇺🇸

Evergreen Park, Illinois, United States

North Chicago VA Medical Center

🇺🇸

North Chicago, Illinois, United States

Southern Illinois School of Medicine

🇺🇸

Springfield, Illinois, United States

Central DuPage Hospital

🇺🇸

Winfield, Illinois, United States

Saint John's Cancer Center

🇺🇸

Anderson, Indiana, United States

Horizon Oncology Research, Inc

🇺🇸

Lafayette, Indiana, United States

Cancer Care Center, Inc. PC

🇺🇸

New Albany, Indiana, United States

N. Iowa Mercy Cancer Center

🇺🇸

Mason City, Iowa, United States

Cancer Center of Kansas

🇺🇸

Wichita, Kansas, United States

Broward Oncology Associates

🇺🇸

Fort Lauderdale, Florida, United States

Northwest Georgia Oncology Centers, PC

🇺🇸

Marietta, Georgia, United States

Pacific Cancer Medical Center, Inc

🇺🇸

Anaheim, California, United States

Palm Springs Research Institute

🇺🇸

Hialeah, Florida, United States

Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

East Carolina University

🇺🇸

Greenville, North Carolina, United States

Cancer Centers of Florida

🇺🇸

Orlando, Florida, United States

OnCare

🇺🇸

Honolulu, Hawaii, United States

Straub Clinical & Hospital

🇺🇸

Honolulu, Hawaii, United States

Kaiser Permanente Honolulu

🇺🇸

Honolulu, Hawaii, United States

Central Baptist Hospital

🇺🇸

Lexington, Kentucky, United States

University of Louisville Hospital - Brown Cancer Center

🇺🇸

Louisville, Kentucky, United States

Ochsner Clinic Foundation

🇺🇸

New Orleans, Louisiana, United States

Omaha VAMC

🇺🇸

Omaha, Nebraska, United States

Montefiore Medical Center / AECOM

🇺🇸

Bronx, New York, United States

Charleston Cancer Center

🇺🇸

Charleston, South Carolina, United States

Texas Oncology-Austin North

🇺🇸

Austin, Texas, United States

Swedish Cancer Institute-Eastside Hematology/Oncology

🇺🇸

Bellevue, Washington, United States

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